BRITEPath- Phase 2
Depression, Suicidal Ideation
About this trial
This is an interventional health services research trial for Depression focused on measuring depression, suicidal ideation, anxiety, treatment, app, safety planning, provider
Eligibility Criteria
Inclusion Criteria:
- Youth aged 12-26yo
- Own a device (e.g. smartphone, iPod, tablet) with capability to download BRITE app
- Biological or adoptive parent is willing to provide informed consent for teen to participate
- Youth speaks and understands English
- Positive PHQ score or provider determines youth has depressive symptoms based on clinical interaction and refers youth to the study (in cases when PHQ is not available and study staff will complete the PHQ during the screening) OR Provider can refer if they are unclear if symptoms are depressive and PHQ scoring will be used to determine youth's eligibility. OR Screening Wizard screening questionnaire (which includes the PHQ and depressive symptom questions) indicates depression OR provider/parent have concern that youth/patient has a mood or behavioral problem
- Family agrees to see an (embedded) MH therapist at the practice
- PHQ scores: Score of 8 or higher on PHQ-8 -or- Score of 1 or higher on #9 of PHQ-9 suicidality item
Exclusion Criteria:
- Non English speaking
- No parent willing to provide informed consent
- No cell phone capability of downloading BRITE app
- Is currently experiencing mania or psychosis
- Evidence of an intellectual or developmental disorder (IDD)
- Life threatening medical condition that requires immediate treatment (including emergent suicidality, homicidally, abuse/neglect, or other mental or physical condition)
- Other cognitive or medical condition preventing youth from understanding study and/or participating.
- Currently receiving MH treatment/currently satisfied with treatment
Sites / Locations
- Henry Ford Health System
- Northwell Hospital
- Children's Community Pediatrics (CCP-Moon) of Children's Hospital of Pittsburgh of UPMC
- STAR- Center
- Children's Community Pediatrics (CCP- Wexford) of Children's Hospital of Pittsburgh of UPMC
- Seattle Children's Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
BRITEPath
Treatment As Usual (TAU)
Participants will receive the components in BRITEPath from a mental health (MH) clinical trained by the study staff/PI's on how to implement BRITE safety planning with fidelity. First, the MH clinician will review possible barriers to implementation of the safety plan and problem-solve appropriately with patient and parent(s); (2) BRITE is the emotion regulation/safety planning app loaded on the patient's smartphone that populated with support from Guide2BRITE; and (3) BRITEBoard, a clinician dashboard that shows app use, change in distress and symptoms ratings, and can be used for shared decision making with parents, patients, and PCPs. Clinicians will review adolescent's skill development and app content with parents. Prior to discharge or following acute increases in suicide risk.
Participants in the TAU group will receive treatment from their mental health clinician which may include safety planning.